Individual
BRANDI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1015 NW 56TH TER, GAINESVILLE, FL 32605-4481
(352) 835-5520
(352) 363-2956
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
(407) 588-6294
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/15/2016
Last updated
06/04/2025
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